brownbook

brownbook

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All Content by brownbook

  1. Questions

    We used to run the GI room with just the gastroenterologist, a nurse for conscious sedation, and a tech. Suddenly it was decided that an anesthesiologist for propofol sedation, a nurse to help the...
  2. Has internet fueled anti-vaccine movement?

    It makes me mad and sad that the Internet is making "society" worse. I read a science fiction book where on every planet that developed intelligent, advanced, civilizations, everyone spoke the same...
  3. I have not seen much gore in my 35 years as an acute care nurse, even with occasionally floating to the ER and the OR. Any wounds, injuries, etc., are thoroughly bandaged once a patient gets to the...
  4. Benefits of consecutive work schedule?

    It really makes a difference if your're working 12 hours shifts or working 40 hours a week. I always worked 11 pm to 7 am 32 hours a week. My schedule varied, sometimes it was 4 nights in a row then...
  5. Help! I Can't Get Rid of My Dark Cloud

    Sometimes I just "lean into it". Believe in, visualize, the darkest black cloud I can imagine. See it enveloping me, breath it, be a part of it, don't fight it. It's real, it's there, live with it....
  6. Working in L&D, NICU, Peds or mother baby with anxiety

    A job where you'll be stuck vs a job you want. Once you get acute care experience as a CNA, a few months or a year, even on an acute care floor you don't really like, you shouldn't be stuck. With one...
  7. Working in L&D, NICU, Peds or mother baby with anxiety

    CNA's are welcome here. You want to work in a hospital? Apply at local hospitals and take any reasonable job that is offered. After you have some acute care experience it will be easier to apply...
  8. Nursing student with wrist injury

    I think you're over thinking this. A nurse can work her whole career in acute care, even ER, and seldom do compressions. There are usually many eager helpers in a code fighting over who gets to do...
  9. Brownbook is replying...not a quote fron
  10. What do they teach these days in school?!

    Yeah, we all skip through the modules. Irregardless of the topic. But a basic HIPAA principle of not accessing a patient's medical information who is not your patient...that's just basic nursing
  11. What do they teach these days in school?!

    HIPAA wasn't invented when I went to school. Even so it has to be part of nursing orientation and addressed annually as part of nursing competency? It was at every facility I worked
  12. Intermediate/Tele floor to PACU

    Yes you will get critical care experience in PACU. You may even find it hard to be hired in PACU, they might want someone with critical care or ICU experience. But still apply for the PACU position....
  13. New Graduate, Only one interview, Should I Be Picky

    Re-read what SmilingBlueEyes posted about following up after you apply with human resources, call, email, call, email. You did email the OB manager twice, now call her. Also email and call human...
  14. I gave a patient in out patient surgery 1 milligram of fentanyl over, I don't remember exactly, but I'm betting over 1/2 hour. Yes he was a chronic pain patient, yes it was per anesthesia orders, he...
  15. Moving California. Insight on pay scale etc?

    We had a very wet winter, right now May 14 - 16 we're having winter storms and snow in the
  16. Moving California. Insight on pay scale etc?

    This is a perfect example of, "The grass is always greener on the other side of the fence....and the grass is always greener where you water it". I'm a 3rd generation Californian so I don't know how...
  17. Your post makes no sense. A doctor cannot hire someone to work in a hospital and do surgery for him. All doctors are thuroughly investigated by a hospital before they get priveliges to work there. And...
  18. Banish the thought "I should know this" from your brain. So many nurses live with this, from new grads to seasoned nurses. Doctors do it also! Think of the pressure they feel graduation from 12 or...
  19. Difficulty with coworker

    This isn't a magical solution but I learned it here on Allnuerses and it does help. Say, "I need" such and such", not "can you". Then whatever blah blah excuse she gives be a broken record,...
  20. Alarmingly true article!

    Are you saying you, a manager, disciplined a registered nurse working in your facility and her mother called you to complain? I hope I would have had the sense to say, "Per hospital policy any issues...
  21. Reasons nurses get fired

    1) HIPAA violation 2) Sleeping on the night shift 3) Refusing patients and assignments, (nothing to do with the nurses level of knowledge or patients acuity) 4) Drug diversion 5) Excessive use of...
  22. Expelled from RN program, looking for options

    I dropped out of nursing school half way through the 3rd semester, at the old age of 31. My grades were great I just couldn't handle clinicals, I was scared and anxious. I returned about 6 months...
  23. Ridiculous medical mistakes on TV

    Yeah, I can just see the general public trying to understand DKA. Which doesn't kill you very dramatically or
  24. Endoscopy units recovering phase 1 patients

    Upper GI bleeds, we do in ICU, where they get admitted. Never had an ERCP patient that needed intubation. Irregardless neither you or I decide what anesthesia the patient will receive. If the patient...
  25. Endoscopy units recovering phase 1 patients

    It seems wrong. I know this isn't anything to directly deal with your issues. I've worked/floated to GI nursing for 17 years. I've never seen or heard of succ, gas, intubated patients for endoscopy...